CRYSTAL BEACH VENTURES LLC (NPI# 1538610530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538610530 |
| Entity Type | Organization |
| Organization Name | CRYSTAL BEACH VENTURES LLC |
| Practice Address |
2121 Market St Suite 101 Galveston TX 77550-1689 |
| Practice Telephone | 4099744935 |
| Practice Fax Number | 4096327980 |
| Mailing Telephone | 4099744935 |
| Mailing Fax Number | 4096327980 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | MR. MIKE WILLETT (PRESIDENT) |
| Authorized Official Telephone | 7138686112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 017585 | TX | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CRYSTAL BEACH VENTURES LLC | 1225 North Loop W Ste 322, Houston, TX 77008-2291 |
| Street Address |
2121 MARKET ST SUITE 101 |
| City | GALVESTON |
| State | TX |
| Zip Code | 77550-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841339082 | J Michael Murray | Counselor | 2121 Market St, Suite 204, Galveston, TX 77550-1684 | 2007-02-05 |
| 1225338759 | Brian Gregory Fenberg | Marriage & Family Therapist | 2121 Market St, Galveston, TX 77550-1689 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087548 | Galveston Chiropractic | Chiropractor | 1023 21st Street, Galveston, TX 77550 | 2019-08-05 |
| 1134615461 | Roxanne Marie Morales | Emergency Medicine | 301 8th Street, Galveston, TX 77550 | 2018-07-10 |
| 1669911541 | Maryann Martin | Nurse Practitioner | 901 Harborside Drive, Galveston, TX 77550 | 2017-02-13 |
| 1942563945 | Sheba Ann Luke | Nurse Practitioner | 400 Harborside Dr #104, Galveston, TX 77550 | 2012-06-25 |
| 1679847123 | Deanna Lynn Ball | Counselor | 2121 Market St Ste 208, Galveston, TX 77550 | 2012-03-01 |
| 1881919611 | Gursaran Banipal Morrical | Emergency Medicine | 901 Harborside Dr, Galveston, TX 77550 | 2010-04-05 |
| 1477885770 | George Michael Moore | Dentist | 2002 45th St, Galveston, TX 77550 | 2010-02-11 |
| 1205067311 | Kristen Cares, Inc | In Home Supportive Care | 1623 Broadway, Galveston, TX 77550 | 2009-08-06 |
| 1518114552 | Julie Mary Bonomo | Speech-Language Pathologist | 928 Broadway St, Galveston, TX 77550 | 2008-08-21 |
| 1104091487 | Galveston Dermatology, P.a. | Dermatology | 1501 Broadway Ave, Galveston, TX 77550 | 2008-04-28 |
| Find all providers in zip 77550 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194150979 | Bsms- Bright Solutions Medical Staffing, LLC | Home Health | 5613 Avenue R, Galveston, TX 77551-5525 | 2013-09-11 |
| 1063765899 | Island Nightingale | Home Health | 1520 Ave O, Galveston, TX 77550-8141 | 2012-10-17 |
| 1134483688 | Just-more Nursing | Home Health | 3102 Cove View Blvd, F301, Galveston, TX 77554-8083 | 2012-06-29 |
| 1134304041 | Health Related Services Inc | Home Health | 1020 10th St, Galveston, TX 77550-6214 | 2008-01-09 |
| 1730303918 | Assist-med, Inc. | Home Health | 1909 Broadway St, Galveston, TX 77550-4617 | 2007-04-12 |
| 1659594737 | Texas Home Health Skilled Services,lp | Home Health | 4920 Seawall Blvd # F, Galveston, TX 77551-5991 | 2007-04-10 |
| 1730284993 | Sigma Health Care, Inc. | Home Health | 1609 Tremont Street, Galveston, TX 77550 | 2006-09-13 |
| 1790143329 | Absolute Kheir Services, Inc. | Home Health | 1701 23rd St, Galveston, TX 77550-7901 | 2016-02-10 |
| 1720328388 | Gulf Coast Occupational Therapy LLC | Home Health | 928 Broadway St, Galveston, TX 77550 | 2013-02-19 |
| 1144519117 | Accentcare Inc | Home Health | 4920 Seawall Blvd, Ste F, Galveston, TX 77551-6011 | 2011-03-30 |
| Find all providers in GALVESTON | ||||
Please comment or provide details below to improve the information on CRYSTAL BEACH VENTURES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.